Common use of PROTECTION OF SUBSCRIBER Clause in Contracts

PROTECTION OF SUBSCRIBER. IPA may not impose any limitations on the acceptance of Subscribers for care or treatment that it does not impose on other patients of the IPA. Neither PacifiCare, IPA nor Hospital may request, demand, require or seek directly or indirectly the transfer, discharge or removal of any Subscriber for reasons of Subscriber's need for, or utilization of, Medially Necessary Medical or Hospital Services, except in accordance with the procedures established for such action. IPA shall not refuse or fail to provide Medically Necessary Medical Services to any Subscriber. Procedures for removal, discharge or transfer of Subscribers shall be mutually agreed upon between IPA and PacifiCare consistent with the Secure Horizons Medical and Hospital Plan.

PROTECTION OF SUBSCRIBER. IPA may not impose any limitations on the acceptance of Subscribers for care or treatment that it does not impose on other patients of the IPA. Neither PacifiCare, IPA nor Hospital may request, demand, require or seek directly or indirectly the transfer, discharge discharge, or removal of any Subscriber for reasons of Subscriber's need for, or utilization of, Medially Medically Necessary Medical or Hospital Services, except in accordance with the procedures established for such action. IPA shall not refuse or fail to provide Medically Necessary Medical Services to any Subscriber. Procedures for removal, discharge or transfer of Subscribers shall be mutually agreed upon between IPA and PacifiCare consistent with the Secure Horizons Medical and Hospital Plan.

PROTECTION OF SUBSCRIBER. IPA may not impose any limitations on the acceptance of Subscribers for care or treatment that it does not impose on other patients of the IPA. Neither PacifiCare, IPA nor Hospital Hospitals may request, demand, require or seek directly or indirectly the transfer, discharge discharge, or removal of any Subscriber for reasons of Subscriber's need for, or utilization of, Medially Medically Necessary Medical or Hospital Health Care Services, except in accordance with the procedures established for such action. IPA shall not refuse or fail to provide Medically Necessary Medical Health Care Services to any Subscriber. Procedures for removal, discharge or transfer of Subscribers shall be mutually agreed upon between IPA and PacifiCare consistent with the Secure Horizons Medical and Hospital PacifiCare Health Plan.

PROTECTION OF SUBSCRIBER. IPA may not impose any limitations on the acceptance of Subscribers for care or treatment that it does not impose on other patients of the IPA. Neither PacifiCare, IPA nor Hospital Hospitals may request, demand, require or seek directly or indirectly the transfer, discharge discharge, or removal of any Subscriber for reasons of Subscriber's need for, or utilization of, Medially Medically Necessary Medical or Hospital Services, except in accordance with the procedures established for such action. IPA shall not refuse or fail to provide Medically Necessary Medical Health Care Services to any Subscriber. Procedures for removal, discharge or transfer of Subscribers shall be mutually agreed upon between IPA and PacifiCare consistent with the Secure Horizons Medical and Hospital PacifiCare Health Plan.

PROTECTION OF SUBSCRIBER. IPA may not impose any limitations on the acceptance of Subscribers for care or treatment that it does not impose on other patients of the IPA. Neither PacifiCare, IPA nor Hospital may request, demand, require or seek directly or indirectly the transfer, discharge discharge, or removal of any Subscriber for reasons of Subscriber's need for, or utilization of, Medially Medically Necessary Medical or Hospital Health Care Services, except in accordance with the procedures established for such action. IPA shall not refuse or fail to provide Medically Necessary Medical Services to any Subscriber. Procedures for removal, discharge or transfer of Subscribers shall be mutually agreed upon between IPA and PacifiCare consistent with the Secure Horizons Medical and Hospital Plan.